Attentional Lapses in Attention-Deficit/Hyperactivity Disorder: Blank Rather Than Wandering Thoughts

Psychol Sci. 2017 Oct;28(10):1375-1386. doi: 10.1177/0956797617708234. Epub 2017 Aug 11.

Abstract

People with attention-deficit/hyperactivity disorder (ADHD) have difficulties sustaining their attention on external tasks. Such attentional lapses have often been characterized as the simple opposite of external sustained attention, but the different types of attentional lapses, and the subjective experiences to which they correspond, remain unspecified. In this study, we showed that unmedicated children (ages 6-12) with ADHD, when probed during a standard go/no-go task, reported more mind blanking (a mental state characterized by the absence of reportable content) than did control participants. This increase in mind blanking happened at the expense of both focused and wandering thoughts. We also found that methylphenidate reverted the level of mind blanking to baseline (i.e., the level of mind blanking reported by control children without ADHD). However, this restoration led to mind wandering more than to focused attention. In a second experiment, we extended these findings to adults who had subclinical ADHD. These results suggest that executive functions impaired in ADHD are required not only to sustain external attention but also to maintain an internal train of thought.

Keywords: ADHD; attention; attention-deficit/hyperactivity disorder; consciousness; mind blanking; mind wandering; open data; open materials.

MeSH terms

  • Adult
  • Attention / drug effects
  • Attention / physiology*
  • Attention Deficit Disorder with Hyperactivity / drug therapy
  • Attention Deficit Disorder with Hyperactivity / physiopathology*
  • Central Nervous System Stimulants / pharmacology
  • Child
  • Consciousness / drug effects
  • Consciousness / physiology*
  • Executive Function / drug effects
  • Executive Function / physiology*
  • Female
  • Humans
  • Male
  • Methylphenidate / pharmacology
  • Thinking / drug effects
  • Thinking / physiology*
  • Young Adult

Substances

  • Central Nervous System Stimulants
  • Methylphenidate